Organization · Type 2 NPI

ST Jude Radiology Medical Group Inc

Diagnostic Radiology Physician · Fullerton, CA

NPI number 1649349705 Active

Practice location

101 E Valencia Mesa Dr
Fullerton, CA 92835

Fax (714) 992-3928

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

137 other providers at this address

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About NPI 1649349705

ST Jude Radiology Medical Group Inc's National Provider Identifier is 1649349705, issued on Nov 6, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fullerton, CA. The record was last updated on Aug 4, 2025.